Coincident Bilateral Atraumatic Hip Fracture in a Young Patient with Renal Osteodystrophy  

作　　者：Shukriah Aqilah Zakaria Mohd Shafiee Johan Chin Max Yong Guang Yi Mohd Atiq Che Roselam Mohamad Hafiz Mohmad Hassim Shukriah Aqilah Zakaria;Mohd Shafiee Johan Chin;Max Yong Guang Yi;Mohd Atiq Che Roselam;Mohamad Hafiz Mohmad Hassim(Department of Orthopaedic, Hospital Bintulu, Bintulu, Malaysia;Department of Orthopaedic, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia;Department of Orthopaedic, Hospital Tuanku Jaafar, Seremban, Malaysia)

机构地区：[1]Department of Orthopaedic, Hospital Bintulu, Bintulu, Malaysia [2]Department of Orthopaedic, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia [3]Department of Orthopaedic, Hospital Tuanku Jaafar, Seremban, Malaysia

出　　处：《Open Journal of Orthopedics》2020年第11期313-320,共8页矫形学期刊（英文）

摘　　要：Bilateral, coincident, atraumatic hip fracture is extremely uncommon and usually occurs secondary to seizures, trauma and metabolic disease including renal osteodystrophy. One of the major types<span>,</span><span> secondary hyperparathyroidism </span><span>is </span><span>associated with high bone turnover due to excess parathyroid hormone and usually seen in a chronic dialysis patient. We reported a 20-year-old woman with end stage renal failure and renal osteodystrophy. She sustained atraumatic right subtrochanteric fracture and left neck of femur fracture (Garden 1), then underwent bilateral long proximal femoral nail. Renal osteodystrophy causes pathological fracture by affecting calcium metabolism that stimulates bone resorptions and lead</span><span>s</span><span> to osteoporotic bone. The aim of this case report is to discuss the approach and management done to the patient presented to our center. Bilateral long proximal femoral nail (PFN) was chosen, taking into account the patient’s premorbid, age, fracture pattern and potential complications. Careful multidisciplinary team approach led by the orthopaedic surgeon, nephrologist and physical therapist </span><span>is</span><span> vital for </span><span>the </span><span>patient to achieve good outcome postoperatively, thus reducing morbidity and mortality.</span>Bilateral, coincident, atraumatic hip fracture is extremely uncommon and usually occurs secondary to seizures, trauma and metabolic disease including renal osteodystrophy. One of the major types<span>,</span><span> secondary hyperparathyroidism </span><span>is </span><span>associated with high bone turnover due to excess parathyroid hormone and usually seen in a chronic dialysis patient. We reported a 20-year-old woman with end stage renal failure and renal osteodystrophy. She sustained atraumatic right subtrochanteric fracture and left neck of femur fracture (Garden 1), then underwent bilateral long proximal femoral nail. Renal osteodystrophy causes pathological fracture by affecting calcium metabolism that stimulates bone resorptions and lead</span><span>s</span><span> to osteoporotic bone. The aim of this case report is to discuss the approach and management done to the patient presented to our center. Bilateral long proximal femoral nail (PFN) was chosen, taking into account the patient’s premorbid, age, fracture pattern and potential complications. Careful multidisciplinary team approach led by the orthopaedic surgeon, nephrologist and physical therapist </span><span>is</span><span> vital for </span><span>the </span><span>patient to achieve good outcome postoperatively, thus reducing morbidity and mortality.</span>

关 键 词：Pathological Fracture Hip Fracture Secondary Hyperparathyroidism Renal Osteodystrophy 

分 类 号：R68[医药卫生—骨科学]